Kleinegger C L, Lilly G E
Department of Oral Pathology, Radiology and Medicine, University of Iowa, College of Dentistry, Iowa City 52242-1001, USA.
J Am Dent Assoc. 1999 Aug;130(8):1203-9. doi: 10.14219/jada.archive.1999.0377.
Cranial arteritis, or CA, a vascular disease affecting primarily elderly people, may result in permanent blindness if untreated. Since it frequently mimics temporomandibular joint, myofascial or odontogenic pain, dentists must be familiar with this condition.
The authors present reports of two patients who had signs and symptoms of CA, some of which were suggestive of other head and neck pain disorders. In both cases, the diagnosis of CA was confirmed by temporal artery biopsy, and treatment with systemic steroids resulted in rapid resolution of symptoms.
Prompt diagnosis and treatment of CA not only results in resolution of symptoms, but also may prevent blindness, the most serious sequela of the condition.
颅动脉炎（CA）是一种主要影响老年人的血管疾病，若不治疗可能导致永久性失明。由于它常与颞下颌关节、肌筋膜或牙源性疼痛相似，牙医必须熟悉这种病症。
作者报告了两名患有CA体征和症状的患者，其中一些体征和症状提示存在其他头颈部疼痛疾病。在这两个病例中，颞动脉活检确诊为CA，全身使用类固醇治疗后症状迅速缓解。
及时诊断和治疗CA不仅能缓解症状，还可能预防该病最严重的后遗症——失明。
